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TABLE OF CONTENTS e e
,Chapter 01: Role Transitions e e e
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MULTIPLE CHOICE e
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in
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e the e. ehoneymoon ephase eof erole etransition ewhen emaking ewhich eof ethe efollowing
estatements? a. “I am so nervous about being on my own as a nurse.” e e e e e e e e e e e e e
b. “This will be a great learning experience.”
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c. “I can’t wait to have a steady paycheck.”
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d. “This job is perfect. I can finally do things my own way.”
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ANSWER: D e .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy.
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eOften, the new graduate is fascinated with the thrill of arriving in the profession. Reality
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eshock occurs when one moves into the workforce after several years of educational
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epreparation. Recovery and resolution occur when the graduate nurse is able to laugh at .
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encountered situations. During this time, tension decreases, perception increases, and the
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enurse is able to grow as a person.
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PTS: 1 e DIF: Cognitive Level: Application/Applying e e e
REF: Table 1.1 e e OBJ: Identify the characteristics of reality shock.
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TOP: Reality shock
e e MSC: NCLEX®: Safe and effective care environment e e e e e e
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2. Which of the following actions by the graduate nurse is an inappropriate methodology to
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erecover from reality shock? e e e
a. Networking .
b. Obtaining a mentor e e
c. Returning to school e e
d. Joining a support group e e e
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ANSWER: C e
The transition period is successfully managed when the graduate is able to evaluate the
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e work situation objectively and predict effectively the actions and reactions of other staff.
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Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a positive step
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. after the graduate has worked through role transition, has some clinical experience, and is
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eready to focus on a new career objective. Networking, obtaining a mentor, and joining a
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esupport group would give the graduate nurse an opportunity to talk to others experiencing the
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, stress associated with reality shock. The nurse would benefit from “talking through” issues
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and learning how to cope.
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PTS: 1 e DIF: Cognitive Level: Application/Applying . e e e e
REF: p. 9 e e OBJ: Describe methods to promote a successful transition.
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TOP: Reality shock
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MSC: NCLEX®: Safe and effective care environment Not applicable
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3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve
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ethis?
a. Refusing to constantly work extra shifts e e e e e .
b. Withdrawing from peer support group e e e e
c. “Going native” e
d. Changing jobs every 6 to 12 months . e e e e e e e
ANSWER: A e
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities
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with your mental and physical health being the highest priority. Learning to say “no” to extra
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shifts is a positive means of coping of avoiding burnout. “Going native” is the term that .
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describes how recent graduates begin to copy and identify the reality of their role-transition
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experience by rejecting the values from nursing school and functioning more like a team
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member at their place of employment. Withdrawing from peer support groups, “going
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native,” . and changing jobs every 6 to 12 months would increase the chance of the nurse
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experiencing
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burnout. The nurse should instead focus on his/her practice and seek out support from
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eother nurses. e
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PTS: 1 DIF: Cognitive Level: Application/Applying
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REF: p. 7 OBJ: Describe methods to promote a successful transition.
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TOP: Reality shock
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MSC: NCLEX®: Safe and effective care environment Not applicable .
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4. Which of the following statements by the graduate nurse shows an understanding of
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ereality shock as it applies to nursing? .
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a. “Reality shock is the period when a person moves from school into thee e e e e e e e e e e e
b. workforce.”“Reality shock is the realization that practice and education are not the e e e e e e e e e e e
e same.”
c. “Reality shock is the period from graduation to becoming an experienced nurse.”.
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d. “Reality shock is a transition phase that new graduates go through before changing
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e jobs.”
ANSWER: A e
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